Provider Demographics
NPI:1518281252
Name:SEGRUS LLC
Entity Type:Organization
Organization Name:SEGRUS LLC
Other - Org Name:DEL SOL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:SEGURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-319-7399
Mailing Address - Street 1:11321 LINDENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2414
Mailing Address - Country:US
Mailing Address - Phone:915-319-7399
Mailing Address - Fax:
Practice Address - Street 1:11321 LINDENWOOD AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2414
Practice Address - Country:US
Practice Address - Phone:915-319-7399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health